Post caesarean section complications in women infected with COVID-19 disease

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dc.contributor.advisorMatjila, Mushi
dc.contributor.advisorMaswime , Salome
dc.contributor.authorMaboko, Rendani
dc.date.accessioned2026-06-12T13:54:21Z
dc.date.available2026-06-12T13:54:21Z
dc.date.issued2026
dc.date.updated2026-06-12T13:28:49Z
dc.description.abstractBackground: The COVID-19 pandemic had a multifaceted impact on maternal health and pregnancy outcomes. This study aimed to determine the impact of the COVID-19 on caesarean section outcomes in pregnant women with COVID-19 infection in South Africa. Objective: To evaluate post-operative outcomes in women who were diagnosed with COVID-19 infection, who underwent a caesarean section delivery while hospitalized in South Africa, during the pandemic. Methods: A secondary analysis was conducted on data from a multicentre national database by the International Network of Obstetric Survey Systems (INOSS). The dataset included hospitalized pregnant women diagnosed with the COVID-19 disease between 14 April 2020 and 9 December 2021 in South Africa. Statistical analyses were performed to determine the association between mode of delivery, postoperative complications and mortality. Results: Among 456 women who delivered by caesarean section. Complications were seen in 74 of 456 (16.2%) women. There was a statistically significant association between caesarean delivery and post-operative complications (p = 0.04). Mortality in COVID-19 positive women undergoing caesarean was 6.1%. Elective caesarean sections (9.02%) were associated with a notably higher rate of mortality compared to emergency procedures (2.5%). Notably 71.4% of maternal deaths amongst those who delivered by caesarean section were due to COVID-19 related respiratory complications. Conclusion: Caesarean section in COVID-19 positive women was associated with increased postoperative complications, especially in the elective cases. Mortality in this cohort was mainly due to respiratory complications. These findings suggest the need for more refined clinical protocols and careful surgical decision-making during pandemics, especially in resource constrained settings.
dc.identifier.apacitationMaboko, R. (2026). <i>Post caesarean section complications in women infected with COVID-19 disease</i>. (). University of Cape Town ,Faculty of Health Sciences ,Department of Obstetrics and Gynaecology. Retrieved from http://hdl.handle.net/11427/43319en_ZA
dc.identifier.chicagocitationMaboko, Rendani. <i>"Post caesarean section complications in women infected with COVID-19 disease."</i> ., University of Cape Town ,Faculty of Health Sciences ,Department of Obstetrics and Gynaecology, 2026. http://hdl.handle.net/11427/43319en_ZA
dc.identifier.citationMaboko, R. 2026. Post caesarean section complications in women infected with COVID-19 disease. . University of Cape Town ,Faculty of Health Sciences ,Department of Obstetrics and Gynaecology. http://hdl.handle.net/11427/43319en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Maboko, Rendani AB - Background: The COVID-19 pandemic had a multifaceted impact on maternal health and pregnancy outcomes. This study aimed to determine the impact of the COVID-19 on caesarean section outcomes in pregnant women with COVID-19 infection in South Africa. Objective: To evaluate post-operative outcomes in women who were diagnosed with COVID-19 infection, who underwent a caesarean section delivery while hospitalized in South Africa, during the pandemic. Methods: A secondary analysis was conducted on data from a multicentre national database by the International Network of Obstetric Survey Systems (INOSS). The dataset included hospitalized pregnant women diagnosed with the COVID-19 disease between 14 April 2020 and 9 December 2021 in South Africa. Statistical analyses were performed to determine the association between mode of delivery, postoperative complications and mortality. Results: Among 456 women who delivered by caesarean section. Complications were seen in 74 of 456 (16.2%) women. There was a statistically significant association between caesarean delivery and post-operative complications (p = 0.04). Mortality in COVID-19 positive women undergoing caesarean was 6.1%. Elective caesarean sections (9.02%) were associated with a notably higher rate of mortality compared to emergency procedures (2.5%). Notably 71.4% of maternal deaths amongst those who delivered by caesarean section were due to COVID-19 related respiratory complications. Conclusion: Caesarean section in COVID-19 positive women was associated with increased postoperative complications, especially in the elective cases. Mortality in this cohort was mainly due to respiratory complications. These findings suggest the need for more refined clinical protocols and careful surgical decision-making during pandemics, especially in resource constrained settings. DA - 2026 DB - OpenUCT DP - University of Cape Town KW - Covid-19 KW - disease KW - obstetrics LK - https://open.uct.ac.za PB - University of Cape Town PY - 2026 T1 - Post caesarean section complications in women infected with COVID-19 disease TI - Post caesarean section complications in women infected with COVID-19 disease UR - http://hdl.handle.net/11427/43319 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/43319
dc.identifier.vancouvercitationMaboko R. Post caesarean section complications in women infected with COVID-19 disease. []. University of Cape Town ,Faculty of Health Sciences ,Department of Obstetrics and Gynaecology, 2026 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/43319en_ZA
dc.language.isoen
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Obstetrics and Gynaecology
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.institutionUniversity of Cape Town
dc.subjectCovid-19
dc.subjectdisease
dc.subjectobstetrics
dc.titlePost caesarean section complications in women infected with COVID-19 disease
dc.typeThesis / Dissertation
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMMed
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